Denial Specialist
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Job Location:
Saint Louis, MI - USA
Monthly Salary:
Not Disclosed
Posted on:
7 hours ago
Vacancies:
1 Vacancy
Job Summary
Pay Rate: $22.47/hr
Remote: Must reside in US
Schedule: Tuesday Saturday 1:00 PM 10:00 PM CST
Contract with potential to extend: 1/12/26 - 12/11/2026
The Denial Specialist generates processes and maintains provider and member correspondence related to preservice and concurrent reviews. This role supports denial workflows by ensuring accurate documentation timely communication and compliance with regulatory standards.
Key Responsibilities-
Generate and process correspondence using EMR documentation within required timelines.
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Review incoming faxes and upload documentation into the electronic medical record system.
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Maintain and update correspondence templates based on regulatory or interdepartmental needs.
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Coordinate data collection analysis and reporting related to the denial process.
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Monitor compliance and turnaround time (TAT) logs for all notifications.
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Fax denial letters to providers.
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Make 25 35 outbound calls per day.
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Perform additional duties as assigned while adhering to all policies and standards.
Education
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High school diploma or GED required.
Experience
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1 2 years of related experience.
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Knowledge of the denials process and medical record information preferred.
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Background in customer service or medical office administration is highly beneficial.
Skills
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Strong computer skills; proficiency with Microsoft Office and Microsoft Teams.
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Familiarity with medical terminology.
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Preferred: HCPCS/CPT coding knowledge.
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Fully remote; candidates may be located in any U.S. time zone.
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Not member-facing and not required to work onsite.
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Training provided on day one including system setup and onboarding.
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Computer competency and typing test (90% pass score).
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One virtual interview with the hiring manager.
CLIENT does not discriminate in employment on the basis of race color religion sex (including pregnancy and gender identity) national origin political affiliation sexual orientation marital status disability genetic information age membership in an employee organization retaliation parental status military service or other non-merit factor.
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
